Mission Trip Registration

Mission Trip Registration 2020

  • Date Format: MM slash DD slash YYYY
  • Emergency Contact (EC)

  • Medical Information and Authorization

    What information do we need to know about you to help you remain safe and healthy?
  • Name a person traveling on the trip whom you designate and empower to provide consent and direction for medical care on your behalf. Clicking "consent" at the bottom of this form empowers this person to act on your behalf.
  • Skills and Work Preferences

  • Skills

  • Pay Deposit of $100

    Each participant is to submit a $100 deposit. Doing this through Omella, our secure, no-hassle, payment site, will help us manage paperwork more easily. After you submit this registration form, you will be directed to a confirmation page on which there is a link to pay your deposit using Omella. Omella accepts credit cards, Apple Pay, Google Pay, Venmo payments or checks. Your registration is not complete until payment is received.
  • Consent